Tony Gianoulis, MD, MHA | |
96 E Kimballs Ln, Draper, UT 84020-5020 | |
(801) 641-7396 | |
Not Available |
Full Name | Tony Gianoulis |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 96 E Kimballs Ln, Draper, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720183221 | NPI | - | NPPES |
190382600 | Other | UT | US DEPT OF LABOR |
870525882GI1 | Other | UT | EDUCATORS MUTUAL |
870525882 | Other | UT | WPS WEST REGION |
52945 | Other | UT | HEALTHY U |
PR00526 | Other | UT | MOLINA |
QM0000076595 | Other | UT | ALTIUS |
212703 | Other | UT | DESERET MUTUAL |
32665 | Other | UT | PEHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 186030-1205 (Utah) | Primary |
Entity Name | Mountain View Anesthesia Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043249840 PECOS PAC ID: 5991604829 Enrollment ID: O20040108000626 |
Entity Name | Rocky Mountain Anesthesiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487683215 PECOS PAC ID: 6305809492 Enrollment ID: O20041109001170 |
Entity Name | Nph Anesthesia Of Utah Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
Entity Name | South Towne Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457061533 PECOS PAC ID: 3870958176 Enrollment ID: O20230419003080 |
Mailing Address | Practice Location Address |
---|---|
Tony Gianoulis, MD, MHA 294 N Federal Heights Cir, Salt Lake City, UT 84103-4490 Ph: (801) 641-7396 | Tony Gianoulis, MD, MHA 96 E Kimballs Ln, Draper, UT 84020-5020 Ph: (801) 641-7396 |
Justin Curtis, APRN-CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-233-9300 | |
Dr. Benjamin Metcalfe, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11925 S State St, Draper, UT 84020 Phone: 801-545-8000 | |
Derek Levoy Haight, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 408, Draper, UT 84020 Phone: 801-572-1186 | |
Craig Johnson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-233-9300 | |
David Wallace, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 738 Golden Pheasant Dr, Draper, UT 84020 Phone: 801-403-7980 | |
Dr. Benjamin A Rideout, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1733 Kudu Ct, Draper, UT 84020 Phone: 801-572-8215 |